NPI | 1083203723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051302461) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051302461) |
1835P2201X Pharmacist, Ambulatory Care (Licence: UT 10874003-1701) | |
Enumeration Date | 2021-01-17 |
Last Update Date | 2021-02-03 |